Individual provider Active NPI

Roderick Eugene Brown, M.D.

  • Anesthesiology Physician
  • East Norriton, PA
National Provider Identifier
1104933779
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD067301L Issued in PA
Practice address
123 W Germantown Pike
Suite 2
East Norriton, PA 19401-1382
Phone
(610) 278-7455
Fax
(610) 278-7457
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD067301L PA Primary

Addresses

Primary practice location

123 W Germantown Pike
Suite 2
East Norriton, PA 19401-1382

Mailing address

102 Annabel Rd.
North Wales, PA 19454
Phone (215) 619-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000238 PA Practitioner - Anesthesiology 0840185740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Wisconsin School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anestiplus, Inc.Group PAC ID 7214975937, 5 clinicians
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians

Practice addresses (Care Compare)

100 N Presidential Blvd
FL 4
Bala Cynwyd, PA 19004-1108
Phone (610) 664-2122

123 W Germantown Pike
Suite 2
East Norriton, PA 19401-1382

2701 Dekalb Pike
2ND
East Norriton, PA 19401-1820
Phone (610) 275-1028

Hospital & facility affiliations

  • Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical Group LLC Anesthesiology CurrentSince Feb 22, 2023 Accepting new patients
Anestiplus, Inc. Anesthesiology CurrentSince Mar 1, 2005 Accepting new patients
Anesticare Anesthesia Services Anesthesiology Past Accepting new patients
North Penn Anesthesiology Associates, Inc Anesthesiology Past Accepting new patients

Locations

100 Presidential Blvd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 664-2122

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

200 Mall Blvd
Kng of Prussa, PA 19406
Phone (610) 337-1580

1000 N Broad St
Lansdale, PA 19446
Phone (215) 368-1646

123 W Germantown Pike
Ste 2
Norristown, PA 19401
Phone (610) 278-7455

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1104933779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ANNABEL RD.",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "19454",
            "telephone_number": "215-619-0389",
            "fax_number": "215-619-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W GERMANTOWN PIKE",
            "address_2": "SUITE 2",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011382",
            "telephone_number": "610-278-7455",
            "fax_number": "610-278-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RODERICK",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD067301L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.